Organization
SANTA FE PEDIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE SHANDLER MD (PRESIDENT)
(505) 988-8024
Entity
Organization
Contact information
Practice address
1418 LUISA STREET, SUITE 5, SANTA FE, NM 87505
(505) 988-8024
(505) 984-8967
Mailing address
1418 LUISA STREET, SUITE 5, SANTA FE, NM 87505
(505) 988-8024
(505) 984-8967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72227
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44040
—
NM
01
—
72227
NM BOARD MEDICAL EXAM
—
01
—
CS00007212
NM BOARD OF PHARMACY
—
Enumeration date
09/14/2006
Last updated
03/07/2023
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